HomeMy WebLinkAbout51265-Z ���a°F SOUTyo�o Town of Southold
* P.O. Box 1179
0 53095 Main Rd
couNn.�' i Southold, New York 11971
CERTIFICATE OF OCCUPANCY
No: 45681 Date: 10/24/2024
THIS CERTIFIES that the building AS BUILT ALTERATION
Location of Property: 195 Brown St Crreenport,NY 11944
Sec/Block/Lot: 48.-3-25.1
Conforms substantially to the Application for Building Permit heretofore, filed in this office dated: 08/21/2024
Pursuant to which Building Permit No. 51265 and dated: 10/08/2024
Was issued, and conforms to all of the requirements of the applicable provisions of the law.
The occupancy for which this certificate is issued is:
'as-built' door replacement to an existing single-family dwelling as applied for
The certificate is issued to: Joyce Hounsell
Of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL:
ELECTRICAL CERTIFICATE:
PLUMBERS CERTIFICATION:
A thcUzed Signa e
�opsopry TOWN OF SOUTHOLD
BUILDING DEPARTMENT
• TOWN CLERK'S OFFICE
SOUTHOLD, NY
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES
WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS
UNTIL FULL COMPLETION OF THE WORK AUTHORIZED)
Permit#: 51265 Date: 10/08/2024
Permission is hereby granted to:
Joyce E Hounsell
245 Brown St
Greenport, NY 11944
To:
Legalize an "as built" door replacement (in-kind) to an existing single-family dwelling as
applied for.
Premises Located at:
195 Brown St, Greenport, NY 11944
SCTM#48.-3-25.1
Pursuant to application dated 08/21/2024 and approved by the Building Inspector.
To expire on 10/08/2026.
Contractors:
Required Inspections:
Fees:
As Built Alteration $500.00
CO-RESIDENTIAL $100.00
Total $600.00
Building Inspector
�olx\OF SOUIyo�
* TOWN OF SOUTHOLD-BUILDING DEPT.
631-765-1802
I NSPECTION
[ ] FOUNDATION.1 ST/ REBAR. [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION/CAULKING
[ ] FRAMING/STRAPPING [ 4�/FINAL Doo4-
[ ]..-FIREPLACE & CHIMNEY [ ] -FIRE-SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION . [ . ] FIRE RESISTANT PENETRATION
[ ]. ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] PRE C/O [ ]. RENTAL
REMARKS: 04', DG �
DATE ��` a 'a INSPECTOR
/ hO�aOE SOl/1,�°lo
6P # # TOWN OF SO.UTHOLD BUILDING DEPT.
coo . 631-765-1802
INSPECTION
[ ]' FOUNDATION 1ST/ REBAR [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION/CAULKING
[ ] FRAMING /STRAPPING [vi"FINAL
[ ] .FIREPLACE & CHIMNEY. [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION . [ ] -TIRE RESISTANT PENETRATION .
[ ] ELECTRICAL (ROUGH) [ . ] ELECTRICAL (FINAL) .
[ ] CODE VIOLATION [ ] PRE C/O [ ] RENTAL
REMARKS:
Ao OLe,&ess-
DATE /0 "ate-25� INSPECTOR
JELD INSPECTION REPORT I DATE COMMENTS
FOUNDATION (1ST) -
-------------------------------------
FOUNDATION (2ND)
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INSULATION PER N.Y.
STATE ENERGY CODE
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FINAL
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ADDITIONAL COMMENTS
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g�fFOC�c TOWN OF SOUTHOLD—BUILDING DEPARTMENT
y x Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959
Telephone(631) 765-1802 Fax (631) 765-9502 hUs://www.southoldtownny.gov
,Date Received:. + ,
APPLICATION FOR BUILDING PERMIT
For Office Use Only i U
PERMIT NO. 15 Building Inspector: -Ji
AUG 2 1 2024 V
Applications and forms must be filled out in their entirety.-Incomplete BD, GDE"-
applications will not be-accepted. Where the Applicant is not,the owner,an. ,TOE Off'SO{�HOI ^
Owner's Authorization form(Page 2)shall be completed:,
Date:
,OWNER(S)OF PROPERTY:. . .
Name: SCTM#1000- —J —
��_.___ a s._ .___�._�.____
Project Address:
Phone#: j59qb Email:
Mailing Address: at
'CONTACT.PERSON:'.
Name:
_-_____..___ - itcE1 Mailing Address:
Phone#.___(p_3
.DESIGN PROFESSIONAL INFORMATION:
Name:
Mailing Address:
Phone#: Email:
CONTRACTOR INFORMATION;
Name:
Mailing Address:
Phone#: Email:
DESCRIPTION OF PROPOSED CONSTRUCTION
❑New Structure ❑Addition ❑Alteration CkRepair ❑Demolition Estimated Cost of Project:
kmtherJoop, in md Y-PDlace rroalr $
Will the lot be re-graded? ❑Yes NNo Will excess fill be removed from premises? ❑Yes I�No
1
N PROPERTY]NFORMATION'
Existing use of property: 0 Intended use of property:
Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to
this property? ❑Yes CRNo IF YES, PROVIDE A COPY.
I9 Check Box After Reading: -The owner/contractor/design-professional is responsible for all drainage and storm water issues as provided by
Chapter 236 of the Town Code.'APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone'
Ordinance of the Town.of Southold,Suffolk,County,New York and,other,applicable Laws,Ordinances or Regulations,for the construction.of buildings,
additions,alterations or for removal or demolition as herein.described.The applicant agrees to'comply with all applicable laws,ordinances,building'code,
housing code and regulations and to admit authorized inspectors on premises and in building(s)for necessary inspections.False statements made herein are
punishable as,a Class A misdemeanor pursuant to Section 210AS of the New York State Penal Law..
Application Submitted By(print name): ❑Authorized Agent f l�lOwner
Signature of Applicant: Ck
Date: 8 IatJ 114
- -
STATE OF NEW YORK)
SS:
COUNTY OF Ik )
J6LACQ_ ) sel` being duly sworn, deposes and says that(s)he is the applicant
(Name of individual signing contract)above named,
(S)he is the OW n-e
(Contractor,Agent, Corporate Officer, etc.)
of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this
application;that all statements contained in this application are true to the best of his/her knowledge and belief; and
that the work will be performed in the manner set forth in the application file therewith.
Sworn before me this
a day of �� US� , 20 / I
N tary Public
TRACE:Y L. DWYER
NOTARY PUBLIC,STATE OF NEW YORK.
PROPERTY OWNER AUTHORIZATION NO.("DW6306900
(Where the applicant is not the owner) OL(ALIFIEDINSUFFOLKCOUNTY
COMMISSION EXPIRES JUNE 30,2,Qa 6
I, residing at
do hereby authorize to apply on
my behalf to the Town of Southold Building Department for approval as described herein.
Owner's Signature Date
Print Owner's Name
2
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